HomeMy WebLinkAbout53021-Z �o4a�f soveyo`o Town of Southold
* * P.O. Box 1179
oQ 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47193 Date: 07/06/2026
THIS CERTIFIES that the building HOT TUB
Location of Property: 1145 Donna Dr Mattituck, NY 11952
Sec/Block/Lot: 115.-16-11
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/18/2026
Pursuant to which Building Permit No. 53021 and dated: 05/26/2026
Was issued, and conforms to all of the requirements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
Accessory hot tub as applied for.
The certificate is issued to: Leanne Barry , Sean Marshall
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 53021 6/26/2026
PLUMBERS CERTIFICATION:
Aut riz d Si ature
�'of SO& TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53021 Date: 05/26/2026
Permission is hereby granted to:
Leanne M Barry
1145 Donna Dr
Mattituck, NY 11952
To:
Construct a hot tub accessory to an existing single-family dwelling as applied for.
Premises Located at:
1145 Donna Dr, Mattituck, NY 11952
SCTM# 115.-16-11
Pursuant to application dated 05/18/2026 and approved by the Building Inspector.
To expire on 05/25/2028.
Contractors:
Required Inspections:
FOOTING/REBAR, ELECTRICAL-ROUGH, ELECTRICAL-FINAL, DRAINAGE, FINAL,
Fees:
Other $300.00
CO Accessory $100.00
Total $400.00
Building Inspector
hO��pF SO(/lyQl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1 179 G •
Southold,NY 1 1 97 1-0959 'Q
�ycDi'JNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Leanne M Barry
Address: 1145 Donna Dr city: Mattituck st: NY zip: 11952
Building Permit#: 53021 Section: 115 Block: 16 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: DC Electric License No: 4076ME
SITE DETAILS
Office Use Only
Commercial Indoor Basement Service Solar
Residential X Outdoor X 1st Floor Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub X EV Charger
New Addition Attic Spa Generator
Survey Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel 50A A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment: 10 Circuit Panel/5 Used , 220GF1, 230GF1 and 120GF1 Breaker
Notes: Hot Tub
O •
Inspector Signature: Date: June 26, 2026
�o��UF SOUTH,°lo
-I # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
r . INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ], ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
FRAMING/STRAPPING 11 FINAL-Wt- 71b
[ :] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT.-CONSTRUCTION [. ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL.(ROUGH) [ ] _ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
LZ
1
v `L
DATE INSPECTO
ho�a0E S0Uly�lo �1 / I/� l on/I --
* # TOWN OF SOUTHOLD BUILDIN� DEPT.
°y�oo�m,N 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] . CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
REMARKS: (� U
DATE _ INSPECTOR
INSPECTION REPORT DATE-, COMMENTS
FOUNDATION (IST)
534t
-------------------------------------- ---------
FOUNDATION (2ND).
ROUGH FRAMING &
PLUMBING
...... ....... --------
.............................
.. ..................
INSULATION PER N. Y.
STATE ENERGY CODE
7--
FINAL
.......... -------
ADDITIONAL COMMENTS
V-Au
771
0
............. ..........
........... ......
............
........... ......... .......
..............
............
o��gUFFO���oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
sz Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www..southoldtownny.gov
f
Date Received
APPLICATION FOR BUILDING PERMIT
4 q
For Office Use Only
�I „
U0
PERMIT N0. Building Inspector: "gti MAY
Applications and"forms must be filled.out'in their entirety. Incomplete n
applications will not be accepted. Where the Applicant is.not the owner,antir6?BGtir
Owner's Authorization.form(Page 2):shall be completed ;n
Date:
OWNER(S)OF PROPERTY:
Name:J�h f"l A�5ttA L Q; SCT,M;#1000-
Project Address: 1' !�' �a�Ka 1Dri,r2 C hi Z
Phone#: �(dO '�3`jy31g� �o3/�g`/g 'S2S�O Email:S&,,.(.pA II'SkAff9(o� IMoQ I CO WI
Mailing Address: SC,M as rb 'ec,+
CONTACT PERSON:
Name: SeA•'t `I .
Mailing Address: 5a 0 q.5 'e4.
Phone#: Y�o " (o3Y 3�g� TErnail: 5 ao.r. oorskaIft@ t+.t� c�4bCO► n
DESIGN'PROFESSIONAL INFORMATION:
Name: VL! 0'.
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATIONS
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF,I ROPOSED CONSTRUCTION
❑New Structure ❑Additiio''n ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other
Will the lot be re-graded? ❑Yes KNo Will excess fill be removed from premises? YNes ❑No
1
*r
;PROPERTY.;INFORMATION
Existing use of property: r'es`fote i Yod Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
❑ Check Box After-Reading: The owner/contractor/design professional is responsible forall`drainage and storm water issues,as,provided by "
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the'issuance of a Building Permit pursuant to the Building zone:
ordinance of the Town of 5outhold;Suffolk;County,New York and other applicable,Laws,-Ordinances or Regulations,for the"construction of buildings, "
additions,alterations or removal or demolition as herein described.-The applicant agrees to comply with all applicable laws,ordinances,building code,. `
,housing,codeand regulations,and to admitauthorized inspectors on premises and in;building(s):fornecessary inspections.False statements made herein are
punishable as a.Ciass A!misdemeanor�pursuant to Section'210.45 cif the New York,State Penal Lary
Application Submitted By(print name): Sealc�sl,C(/ ❑Authorized Agent Xowner
Signature of Applicant: t`^ Li� Date: I zo 2.
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified In Suffolk County.
COUNTY OF ) Commission.Expires April 14,2y
being duly sworn, deposes and,says,that(s)he is the applicant
(Name of individual fsigrling contract) above named,
(S)he is the
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and.to make and.file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief, and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of /- , 2001�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
OFF BUILDING DEPARTMENT-Electrical Inspector
�oS Gyp TOWN OF SOUTHOLD
z Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
y O Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (An Information Required) Date: ! U Z 6
Company Name: C E le G r7C -Tw C.
Electrician's Name: Dauv os c
License No.: ` 276-iM E'Elec. email:
Elec. Phone No: (&31 65'3-3 G 2? (5 request an email copy of Certificate of Compliance
Elec. Address.: P-0. QG)c (3104 Quo txf, I NY INs-q
JOB SITE INFORMATION (All Information Required) /
Name: Mars kaft 0 &ve kes t'G�� Lre
Address: IN6' 120kk,0, rive
Cross Street: N Qw St, Lac_us t Ave
Phone No.: cjgp- 3y - 3 po —SzS6
Bldg.Permit#: J 0 email: SCaq.�.wrarfL+all 8(� <flP w�o.,`l. a
Tax Map District: 1000 Section: (If-60 Block: IG , 00 Lot:011.000
BRIEF DESCRIPTION OF WORK, INCkr-
UDE SQUARE FOOTAG (Please Pr t Clearly):
sabpaKe/ nscai �-, �t�0- b , wi"1l t ►^uA^ wr�i>n
P aK e f - —
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ® YES NO Rough In ❑ Final
Do you need a Temp Certificate?: F1 YES ❑NO Issued,On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 0 1 FJ2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
®S�fFQI�C BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
a Town Hall Annex - 54375 Main Road - PO Box 1179
^+ Southold, New York 11971-0959
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: P G E le Joe Tw C.
Electrician's Name: U)cw id , d Sa c r
License No.: *276 M E'Elec. email: Q(i S SAC Dc��QG rlC L�-co
Elec. Phone No: (o3l- 65'3-3(c 2 g 211 request an email copy of Certificate of Compliance
Elec. Address.: P.O. Qex (310 Quo Lx,& 4 N Y 11 q Sq
JOB SITE INFORMATION (All Information Required)
Name: I�'tA�lS�a�� &v,- IC est'Ah.C42
Address: 11(f6- DoKt, a rive
Cross Street: Np
_w $tt Lacu_s t" Ave
Phone No.: c(80- 3y - (3 - `?Y$
Bldg.Permit#: J 0 email: Von
Tax Map District: 1000 Section: 1Ih'••60 Block: I G 00 Lot:011. 000
BRIEF DESCRIPTION OF WORK, INC�UDE SgUARE FOOTAG (Please PrJ(�t Clearly):
Kew 5ab awe( f%SI�G��a/�ia� ,r l" l cc�6 , w�'l/ � V'u� C4,— ttir�i0
P
P aK e r �— — —r(�
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES ® NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service[]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? 0 Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION
_d 6o
PERMIT# Address:
Switches /
Outlets
G F I's ju r V
Surface
Sconces c_
H H's
UC Lts Fridge HW POOL.
Fans Mini Fr. WAD Panel
Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
-AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
NEW SUFFOLK AVENUE SURVEY OF
LOT 63
00
0 MAP OF
o DEEP HOLE CREEK ESTATES
rmjS87e19120"E LOT 64 182.00'I O LOT 54 AT MATTITUCK
0
a FILE No. 4256, FILED JANUARY 28, 1965
o o WS SI TUA TE
y ^ tie N VCHAINUNK
o ��o N N WN o FENCE MATTITUCK, TOWN OF SOUTHOLD
A Zg��rx ' SUFFOLK COUNTY, NEW YORK
H 41.3' Zc
TAX No. 1000-11500-1600-011000
Zo I 25.2 =z z SCALE 1"=30'
Q o ;_ =z 2—STORY Qj SATE Y OCTOBER 9, 2020
w a "� HOUSE a
CONIC. STOOP N No. 1145 m 3 pgnp Z
ec STEPS } I D LOT 63 sLATE 1.21 AREA = 20,020.00 sq. ft.
0.460 ac.
l� 41.2 3 2.0' ---� AD - . = 12.7'
WOOD
O Ym 3PATIO LOT 5$ F N
Z o 1—STORY DECK E
I—I LLB 04 ———
m =* N 14.0' 101.s' 3 PLP H yF O
1—STORY _.r
o GARAGE S o x C
23.2' 115.6' rr - '7
CONC. DRIVEWAYRD O
OFLO Ld
_ O
�N N N o No NSF Os�2o5
I.- U rc O FE 0.2'N 6'sTOCKADE FENCE li (n O A N D CJ�
M 0
w FE 0.1' w
N 8 7 e19'2 0"W o LOT 62 18 2.0 0' t 0
U Ww V ZWw
WO I to li to 4.
— METES AND BOUNDS SURVEYING NOTE: LOCATIONS AND EXISTENCE OF ANY
SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
53 PROBST DRIVE READILY VISIBLE, ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
PHONE: (516)-972-5812
E—MAIL: METESANDBOUNDSSURVEYING®GMAIL.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE
DISTRICT:1000 LOT:01 1.000 BLOCK:16.00 SECTION:115.00 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
MAP/FILE NO.: 4256 SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
'Copies from the original of this survey map not marked with an original
of the land surveyor's Inked seal or his embossed seal shall not be
considered a valid true copy.' 'Certification indicated hereon signify that
MAP OF: "MAP OF DEEP HOLE CREEK ESTATES AT MATTITUCK" this survey NOe prepared in accordance with the existingCode of Practice
for Land Surveys adopted by the New York State Association of
Profesional Land Surveyors. Said certifications shall run only to the
fITLE N0.• 40647FI—S person tar whom the surrey Is prepared, and on hie behalf to the title
company, governmental agency and lending Institution. Certifications are
not transferable to additional institutions or subsequent ownem'
MAP FILED DATE: JANUARY 28, 1965
COUNTY TAX MAP ID: 1000-11500-1600-011000
SITUATED AT: MATTITUCK, TOWN OF SOUTHOLD
SUBDIVISION MAP LOT#S: 63
❑ SEAN ROYAL MARSHALL AND LEANNE MARIE BARRY
JUDICIAL TITLE INSURANCE COMPANY; TITLE NO. 140647FI-S
`L. FIDELITY NATIONAL TITLE INSURANCE COMPANY COPYRIGHT 2020 RALPH VEIL,
METES AND BOUNDS SURVEYING, INC.
w USAA FEDERAL SAVINGS BANK AND OR JOB NO.: 20_831
c� THE SECRETARY OF THE DEPARTMENT OF VETERANS AFFAIRS ISAOA DATE: OCTOBER 9, 2020 —
17Ro
Cd
APPROVED AS NOTED
DATE: dk B.P.# 5 30 a
00. 00 BY:
NOTIFY BUILDING DEPARTMENT AT
I 631=765=1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING
L,I5QERDARY:MASSAGG, SIZE INSULATION
~43 Personalized-Control Jets: FINAL-CONSTRUCTION MUST
Dimensions 7'x Z'.x 36"/ 213 cm x 213 cm x 91 crn
• 1 XL1)ual Rotary jet BE COMPLETE FOR C.O.
2 XL Single Rotary jets CAPACITY
1 XL Directional jet Seating Capacity 6 seats ALL CONSTRUCTION SHALL MEET THE
Standard Single Rotary jets
2 REQUIREMENTS OF THE CODES OF NEW
2 Standard Directional jets Water Capacity 335 gallons 11,270 liters PORK STATE. NOT RESPONSIBLE FOR
31 Directional Precisions jets Weight 875 lbs./400 kg dry;4,720 lbs./2,140 kg filled ° DESIGN OR CONSTRUCTION ERRORS
EASY WATER CARE ADDITIONAL FEATURES
Water Care System FreshWaterO 10 System Smart Spa Hot Spring Spas App Powered by the Connected Spa Kit
Salt System Ready Technology'
Smart Monitoring System Optional Water Feature VidroO backlit ribbon waterfall
Filtration System Dual action,100 sq.ft.,top loading Cover Lifters` CoverCradle°,CoverCradle II,Lift'n GlideD,or UpRitee COMPLY M ALL CODES OF
Steps" Limelight Collection Step(Coastal Gray, NEW YORK STATE&TOWN CODES
LEADING ENERGY EFFICIENCY A. REQUIREDAN�CONDMONSOF
Espresso,.and Sable) w,/
Jet Pump 1 WavernasterIP 4.0 HP BreakdowOn Torque peed,2.0 HP Continuous Duty, Entertainment" Bluetootit®Wireless Sound System ��1YIrt9Lralf
Jet Pump 2 WavemasterG 8000;One-speed,2.0 HP Continuous Duty, Control System 10 20200 with LCD control panel d �ryntyttn�I�tR�d�t,w�pM
4.0 HP Breakdown Torque 230 V/50 amp,60 Hz tT/wyU�lyNyilnl t�tlyl�l�fh�rpLl'illtHUYl7
Sw'fML IV11/11tw.71Gf
Circulation Pump SilentFlo 50000 for quiet,continuous filtration (Includes GFCI protected sub-panel)
Lighting System Raiod multi-color interior points of light Xyl f1rA
Heater No-Faultej 4,000 W 1230 V Exterior multi-color lighting with timer
Insulation FiberCor°'Insulation;Certified to California Cooling System' Coolzone" �xlUtflNLJ/�y
Energy Commission(CEC)and APSP 14
energy efficiency standards for portable spas 'OptjonclAccessones
Cover WeatherPro"4"Tapered Custom-Fit with Hinge Seal
ELECTRICAL
INSPECTION REQUIRED
'Actual color sand products nrayvaryfrorn print represenlahon.See dealer to verily.
"Iududes water and 7 adolts weighing 175 MS.each. 2025 Watkins Wellness Rev.L